Active NPI
Mary Egan, PH. D
- Clinical Psychologist
- Turtle Creek, PA
National Provider Identifier
1356446603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS002123L
- Practice address
- 519 Penn Ave Ste 202
Turtle Creek, PA 15145-2082 - Phone
- (412) 824-8510
- Fax
- (412) 824-0948
- NPI assigned
- Sep 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS002123L | PA | Primary |
Addresses
Primary practice location
519 Penn Ave Ste 202
Turtle Creek, PA 15145-2082
Mailing address
519 Penn Ave Ste 202
Turtle Creek, PA 15145-2082
Phone (412) 824-8510
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006180 | Other | PA | HIGHMARK |
| P00195217 | Other | PA | MEDICARE RR |
| 124692 | Other | PA | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS002123L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356446603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 PENN AVE STE 202",
"city": "TURTLE CREEK",
"state": "PA",
"postal_code": "151452082",
"telephone_number": "412-824-8510",
"fax_number": "412-824-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 PENN AVE STE 202",
"city": "TURTLE CREEK",
"state": "PA",
"postal_code": "151452082",
"telephone_number": "412-824-8510",
"fax_number": "412-824-0948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "PH. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS002123L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "006180",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00195217",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "124692",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Turtle Creek, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.